Ariz. Admin. Code § 9-28-504

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-28-504 - Standards of Participation, Licensure, and Certification for HCBS Providers

A. A noninstitutional long-term care provider shall not register with the Administration unless the provider meets the requirements of the Arizona Department of Health Services' rules for licensure, if applicable.

B. Additional qualifications to provide services to a member:

1. A community residential setting and a group home for a person with developmental disabilities shall be licensed by the appropriate regulatory agency of the state as described in A.A.C. R9-33-107 and A.A.C. R6-6-714;

2. An adult foster care home shall be certified or licensed under 9 A.A.C. 10;

3. A home health agency shall be Medicare-certified and licensed under 9 A.A.C. 10;

4. A person providing a homemaker service shall meet the requirements specified in the contract between the person and the Administration;

5. A person providing a personal care service shall meet the requirements specified in the contract between the person and the Administration;

6. An adult day health care provider shall be licensed under 9 A.A.C. 10;

7. A therapy provider shall meet the following requirements:

a. A physical therapy provider shall meet the requirements in 4 A.A.C. 24;

b. A speech therapist provider shall meet the applicable requirements under 9 A.A.C. 16, Article 2.

c. An occupational therapy provider shall meet the requirements in 4 A.A.C. 43; and

d. A respiratory therapy provider shall meet the requirements in 4 A.A.C. 45;

8. A respite provider shall meet the requirements specified in contract;

9. A hospice provider shall be Medicare-certified and licensed under 9 A.A.C. 10;

10. A provider of home-delivered meal service shall comply with the requirements in 9 A.A.C. 8;

11. A provider of non-emergency transportation shall be licensed by the Arizona Department of Transportation, Motor Vehicle Division;

12. A provider of emergency transportation shall meet the licensure requirements in 9 A.A.C. 13;

13. A day care provider for the developmentally disabled under A.R.S. § 36-2939 shall meet the licensure requirements in 6 A.A.C. 6;

14. A habilitation provider shall meet the requirements in A.A.C. R6-6-1523 or the therapy requirements in this Section;

15. A service provider, other than a provider specified in subsections (B)(1) through (B)(14), approved by the Director shall meet the requirements specified in a program contractor's contract with the Administration;

16. A behavioral health provider shall have all applicable state licenses or certifications and meet the service specifications in A.A.C. R9-22-1205; and

17. An assisted living home or a residential unit shall meet the requirements as defined in A.R.S. § 36-401 and as authorized in A.R.S. § 36-2939.

Ariz. Admin. Code § R9-28-504

Adopted effective October 1, 1988, filed September 1, 1988 (Supp. 88-3). Amended effective June 6, 1989 (Supp. 89-2). Amended effective July 13, 1992 (Supp. 92-3). Amended effective November 5, 1993 (Supp. 93-4). Amended effective December 8, 1997 (Supp. 97-4). Amended by final rulemaking at 5 A.A.R. 874, effective March 4, 1999 (Supp. 99-1). Amended by final rulemaking at 11 A.A.R. 4286, effective December 5, 2005 (Supp. 05-4).